Adoption Application

Thank you for your interest in adopting a cat or dog from Animal Aid! Please complete the application below, and an Adoption Counselor will reach out to you to discuss the adoption process.

Please note: We encourage you to copy your answers to or from a separate document, in the event that you are unable to complete the application at one time or a technical error occurs.

To ensure that you receive follow-up emails from us regarding your application, please add adopt-cat@animalaidpdx.org and adopt-dog@animalaidpdx.org to your email directory/contact list.

Some info you may want to gather before starting your application:

The name and phone number of your property manager (if you rent your home).
Phone numbers for 2-3 personal references (non-family, please).
The name and phone number of your vet clinic (if applicable).

If you encounter any issue filling out this online application, you may download a PDF version here and return by email to animalcare@animalaidpdx.org

Required fields are indicated with an asterisk *

This application is for a:*
Cat
Dog
Have you already spoken to an Animal Aid adoption counselor?*
How did you hear about Animal Aid?*
Have you ever adopted or applied to adopt an animal from Animal Aid?*
Adopter Information
Name(s):*
Pronouns:*
Age:*
Address:*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Primary phone:*
Secondary phone:
Other phone:
Primary email:*
Secondary email:
Other:
Your occupation and employer:*
Tell us about your decision to adopt
Why are you considering adopting?*
Describe the type of animal companion that you think would best fit your life (e.g., personality, energy level, size, quantity):*
Are you interested in a specific animal?*
Are you adopting this animal for yourself?*
Do you have a size or color preference?*
Do you have an age preference?*
Preferred sex:*
Have you ever had a cat declawed?*
Yes
No
If you adopt a cat, do you intend to declaw it?*
Yes
No
If you answered "yes" to either of the above questions, please explain why:
How many hours a day will your pet be left alone? How many days will they be left due to travel?*
Tell us about your household
Please list the names and relationships of the adults in the home:*
Are there children living in your home or who visit regularly?*
Does anyone in the household have animal-related allergies?*
Is everyone in your household in favor of adopting an animal?*
Tell us about where you live
Is your residence a:*
House
Apartment
Condo
Mobile Home
Other
Do you:*
Rent
Own
Live with Family
Other
On what date did you move into your current address?*
Do you plan to move soon? If you move, will your animal go with you?*
RENTERS ONLY
Name of landlord or apartment complex manager:
First Last
Phone number for landlord or manager:
What is the pet policy concerning the allowed type and number of animals?
What is the pet deposit and/or pet rent amount?
Have you paid the pet deposit?
Tell us about the animals that are currently a part of your household
How many animals are currently a part of your household?*
Animal #1
Species:
Name:
Please tell us a little bit about them and their personality/temperament (e.g., size, energy level, play style, etc.):
How did you acquire this animal?
Age then:
Age now:
Sex:
Are they neutered or spayed?
Are their vaccinations current?
(Cats) Have they tested negative for FeLV/FIV?
(Cats) Are they declawed?
Do they have a microchip or tattoo?
Are they licensed?
Where does this animal stay?
Animal #2
Species:
Name:
Please tell us a little bit about them and their personality/temperament (e.g., size, energy level, play style, etc.):
How did you acquire this animal?
Age then:
Age now:
Sex:
Are they neutered or spayed?
Are their vaccinations current?
(Cats) Have they tested negative for FeLV/FIV?
(Cats) Are they declawed?
Do they have a microchip or tattoo?
Are they licensed?
Where does this animal stay?
Animal #3
Species:
Name:
Please tell us a little bit about them and their personality/temperament (e.g., size, energy level, play style, etc.):
How did you acquire this animal?
Age then:
Age now:
Sex:
Are they neutered or spayed?
Are their vaccinations current?
(Cats) Have they tested negative for FeLV/FIV?
(Cats) Are they declawed?
Do they have a microchip or tattoo?
Are their vaccinations current?
Are they licensed?
Where does this animal stay?
Animal #4
Species:
Name:
Please tell us a little bit about them and their personality/temperament (e.g., size, energy level, play style, etc.):
How did you acquire this animal?
Age then:
Age now:
Sex:
Are they neutered or spayed?
Are their vaccinations current?
(Cats) Have they tested negative for FeLV/FIV?
(Cats) Are they declawed?
Do they have a microchip or tattoo?
Are they licensed?
Where does this animal stay?
Animal #5
Species:
Name:
Please tell us a little bit about them and their personality/temperament (e.g., size, energy level, play style, etc.):
How did you acquire this animal?
Age then:
Age now:
Sex:
Are they neutered or spayed?
Are their vaccinations current?
(Cats) Have they tested negative for FeLV/FIV?
(Cats) Are they declawed?
Do they have a microchip or tattoo?
Are they licensed?
Where does this animal stay?
Animal #6
Species:
Name:
Please tell us a little bit about them and their personality/temperament (e.g., size, energy level, play style, etc.):
How did you acquire this animal?
Age then:
Age now:
Sex:
Are they neutered or spayed?
Are their vaccinations current?
(Cats) Have they tested negative for FeLV/FIV?
(Cats) Are they declawed?
Do they have a microchip or tattoo?
Are they licensed?
Where does this animal stay?
Animal #7
Species:
Name:
Please tell us a little bit about them and their personality/temperament (e.g., size, energy level, play style, etc.):
How did you acquire this animal?
Age then:
Age now:
Sex:
Are they neutered or spayed?
Are their vaccinations current?
(Cats) Have they tested negative for FeLV/FIV?
(Cats) Are they declawed?
Do they have a microchip or tattoo?
Are they licensed?
Where does this animal stay?
Animal #8
Species:
Name:
Please tell us a little bit about them and their personality/temperament (e.g., size, energy level, play style, etc.):
How did you acquire this animal?
Age then:
Age now:
Sex:
Are they neutered or spayed?
Are their vaccinations current?
(Cats) Have they tested negative for FeLV/FIV?
(Cats) Are they declawed?
Do they have a microchip or tattoo?
Are they licensed?
Where does this animal stay?
What other animals have you had in the past five years?
How many other animals have you had in the last five years?*
Animal #1
Species:
Name:
How long did you have them?
What happened to them and when?
How old were they at the time?
Animal #2
Species:
Name:
How long did you have them?
What happened to them and when?
How old were they at the time?
Animal #3
Species:
Name:
How long did you have them?
What happened to them and when?
How old were they at the time?
Animal #4
Species:
Name:
How long did you have them?
What happened to them and when?
How old were they at the time?
Animal #5
Species:
Name:
How long did you have them?
What happened to them and when?
How old were they at the time?
What brand/type of food have you fed your current or past animals?*
What brand/type of food do you plan to feed the animal you are adopting?*
(Cats) How many litter boxes do you plan to have and where will they be placed?
If applicable, describe how your current animals interact with each other:
Planning ahead
Describe your home, yard, and neighborhood:*
Do you have a pet door? If yes, where does it go?*
Where will your animal stay during the day?*
Where will your animal stay at night?*
How would you introduce a new animal to your family and current animals?
How will you confine your animal to your property?*
Describe how your animal will be cared for if you are away for more than a day:*
How would you handle potentially problematic behaviors (e.g., aggression, reactivity, destructive behaviors, inappropriate marking, etc.)?*
Name some reasons that might cause you to give up your animal:*
If you experience changes in your life, finances, or ability that cause you to become unable to care for your animal, what plans have you made?*
What is your anticipated annual budget and resources to care for your animal? Consider such elements as food, vet care, and training. Please include a numerical estimate along with any additional resources you have (e.g., pet insurance, trainer connections, donated or discounted food/supplies, etc.).*
Are you willing to go to the expense and time of taking your animal to a veterinarian for full preventative and medical care at least once a year?*
Yes
No
Would you object to a follow-up visit from an Animal Aid representative to see how the animal is doing in their new home?*
Yes
No
Please list all the veterinarians (local and out of area) who have cared for your animals in the past 5 years
How many veterinarians have cared for your animals in the past 5 years? (Please enter a number)*
Veterinarian #1
Clinic name:*
Clinic city and state:
City State / Province / Region
Clinic phone number:
Veterinarian #2
Clinic name:
Clinic city and state:
City State / Province / Region
Clinic phone number:
Veterinarian #3
Clinic name:
Clinic city and state:
City State / Province / Region
Clinic phone number:
Veterinarian #4
Clinic name:
Clinic city and state:
City State / Province / Region
Clinic phone number:
Are any of your animals currently under treatment or taking medications?
Has one of your animals or any animal in your care died of distemper, leukemia, parvo, FIP, or unknown causes in the last 6 months?*
References - Professional or Personal (Non-family, please)
How many references do you have? 3 references are required for those without a veterinary reference. Only 2 references are needed if you have a veterinarian listed above.*
Please enter a number from 1 to 4.
Reference #1 (non-family, please)
Name:*
First Last
Years known:*
Relationship:*
Phone:*
Email:
Reference #2 (non-family, please)
Name:*
First Last
Years known:*
Relationship:*
Phone:*
Email:
Reference #3 (non-family, please)
Name:
First Last
Years known:
Relationship:
Phone:
Email:
Reference #4 (non-family, please)
Name:
First Last
Years Known:
Relationship:
Email:
Questions for us?
Do you have any questions and/or feedback about the information we have requested on this form?
Are there any additional topics you'd like to discuss during a follow-up conversation with one of our adoption counselors?
Signature
I attest that the above information is accurate and give Animal Aid, Inc. permission to verify any of the above. I understand that giving false information is grounds for denying my application.*
Yes
Please type your name*
Name
This field is for validation purposes and should be left unchanged.

Adoption Application

Adopter Information

Tell us about your decision to adopt

Tell us about your household

Tell us about where you live

Tell us about the animals that are currently a part of your household

Animal #1

Animal #2

Animal #3

Animal #4

Animal #5

Animal #6

Animal #7

Animal #8

What other animals have you had in the past five years?

Animal #1

Animal #2

Animal #3

Animal #4

Animal #5

Planning ahead

Please list all the veterinarians (local and out of area) who have cared for your animals in the past 5 years

Veterinarian #1

Veterinarian #2

Veterinarian #3

Veterinarian #4

References - Professional or Personal (Non-family, please)

Reference #1 (non-family, please)

Reference #2 (non-family, please)

Reference #3 (non-family, please)

Reference #4 (non-family, please)

Questions for us?

Signature

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